Kelly Jean Dauer, LICSW is a
Social Worker - Clinical based in Spring Park, Minnesota. Kelly Jean Dauer is licensed to practice in Minnesota (license number 22636) and her current practice location is
4154 Shoreline Dr Ste 202, Spring Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 491-9450.
NPI number for Kelly Jean Dauer is 1992350367 and her current mailing address is 701 8th St, Cloquet, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992350367.
Healthcare Provider's Profile
Full Name | Kelly Jean Dauer |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4154 Shoreline Dr Ste 202, Spring Park, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992350367
- Provider Enumeration Date: 08/02/2019
- Last Update Date: 02/18/2025
Medical Identifiers
Medical identifiers for Kelly Jean Dauer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992350367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 22636 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Jean Dauer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Jean Dauer, LICSW 701 8th St, Cloquet, MN 55720-2362 Ph: (651) 353-3381 | Kelly Jean Dauer, LICSW 4154 Shoreline Dr Ste 202, Spring Park, MN 55384-5610 Ph: (952) 491-9450 |
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